Individual
MRS. LARA KEAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
530 HORNADY DR, MONROEVILLE, AL 36460-8658
(251) 575-4837
(251) 575-4837
Mailing address
PO BOX 964, MONROEVILLE, AL 36461-0964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1082197
AL
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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